SearchCalifornia183500000X

Sidaka Choau

NPI 1477960540 · on the registry since 2014 · sole proprietor

Practice

Address
1445 E Foothill Blvd
Upland, CA 91786
Phone
(909) 982-6241
Organisation at this address
Walmart Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California